{"id":4996,"date":"2025-01-14T09:10:15","date_gmt":"2025-01-14T09:10:15","guid":{"rendered":"https:\/\/luracare.es\/?p=4996"},"modified":"2025-01-14T11:09:09","modified_gmt":"2025-01-14T11:09:09","slug":"como-afecta-la-diabetes-a-nuestra-salud-oral","status":"publish","type":"post","link":"https:\/\/luracare.es\/ca\/2025\/01\/como-afecta-la-diabetes-a-nuestra-salud-oral\/","title":{"rendered":"Com afecta la diabetis a la nostra salut oral?"},"content":{"rendered":"

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La diabetis \u00e9s una malaltia cr\u00f2nica de prevalen\u00e7a elevada, i que entre altres alteracions pot propiciar importants complicacions en la salut oral. Per aquest motiu, la prevenci\u00f3 i l'abordatge terap\u00e8utic especialitzat en l'atenci\u00f3 odontol\u00f2gica s\u00f3n fonamentals, especialment en el cas de persones grans que viuen en resid\u00e8ncies i tenen mobilitat redu\u00efda.<\/h6>\n\n\n\n

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La Diabetis Mellitus<\/a> \u00e9s una malaltia cr\u00f2nica, que constitueix un problema important de salut p\u00fablica a causa de la seva elevada prevalen\u00e7a. Segons el IDF Diabetis Atles<\/a> publicat per la International Diabetis Federation<\/a>, el 10,5% dels adults entre 20 i 79 anys viuen amb aquesta malaltia, \u00e9s a dir, 537 milions de persones. I les projeccions apunten que aquesta xifra s'elevar\u00e0 a 643 milions el 2030 i fins a 783 milions per a l'any 2045.<\/p>\n\n\n\n

Si b\u00e9 el tipus 1 \u00e9s d'origen gen\u00e8tic, a la <\/strong>diabetis<\/a> tipus 2 influeixen l'estil de vida i el proc\u00e9s d'envelliment<\/strong>, de manera que les persones d'edat avan\u00e7ada tenen m\u00e9s risc de patir-la. Les complicacions derivades de la diabetis poden comportar m\u00faltiples afeccions, com ara atacs card\u00edacs<\/a>, disfunci\u00f3 renal<\/a>, amputaci\u00f3 d'extremitats<\/a>, ceguesa<\/a>, problemes neurol\u00f2gics<\/a> i danys als nervis perif\u00e8rics.<\/p>\n\n\n\n

L'impacte de la diabetis a la salut oral<\/strong><\/h5>\n\n\n\n

A m\u00e9s, a m\u00e9s del 90% dels pacients diab\u00e8tics es produeixen manifestacions orals<\/strong>. L'evid\u00e8ncia cient\u00edfica indica que la diabetis fa malb\u00e9 severament els teixits orals causant trastorns com malaltia periodontal<\/a>, edentulisme o p\u00e8rdua de dents<\/strong>, xerostomia<\/a>, c\u00e0ries<\/a>, s\u00edndrome de la boca ardent<\/a>, disfunci\u00f3 de les gl\u00e0ndules salivals<\/a>, retard en la curaci\u00f3 i cicatritzaci\u00f3 de les ferides<\/a>, liquen pla<\/a>, llengua geogr\u00e0fica<\/a> i candidiasi oral<\/a>.<\/p>\n\n\n\n

Tamb\u00e9 cal assenyalar que la relaci\u00f3 entre la<\/strong> periodontitis<\/a> i la<\/strong> diabetis<\/a> \u00e9s bidireccional<\/strong>. Aix\u00f2 implica que tractant la malaltia de les genives estem causant directament una millora a la gluc\u00e8mia de la persona diab\u00e8tica, i per tant a la millora dels s\u00edmptomes derivats d'aquesta malaltia.<\/p>\n\n\n\n

Malauradament, la majoria de les persones diab\u00e8tiques desconeixen l'impacte que t\u00e9 aquesta malaltia en la salut oral<\/strong>. Nom\u00e9s un petit percentatge visita peri\u00f2dicament el dentista per sotmetre's a revisions, sobretot si es tracta de persones grans que viuen en resid\u00e8ncies i tenen la mobilitat redu\u00efda.<\/p>\n\n\n\n

Un dels aspectes fonamentals que hem de tenir present \u00e9s el retard en la curaci\u00f3 de les lesions orals i la cicatritzaci\u00f3<\/strong> que pateixen els pacients diab\u00e8tics. Aix\u00f2 \u00e9s degut, entre altres factors, a una redu\u00efda resposta cel\u00b7lular i angiog\u00e8nesi, una incorrecta producci\u00f3 de factors de creixement i un insuficient reg sanguini.<\/p>\n\n\n\n

Molts d'aquests factors es troben alterats als pacients amb diabetis<\/a> no controlada, i alhora afecten procediments odontol\u00f2gics que requereixen cicatritzaci\u00f3 o curaci\u00f3<\/strong>.No obstant, els pacients que la tenen controlada gr\u00e0cies a la medicaci\u00f3 hipogluc\u00e8mica no solen presentar un major risc de retard en la cicatritzaci\u00f3 despr\u00e9s d'una extracci\u00f3 dental.<\/p>\n\n\n\n

Abordatge terap\u00e8utic especialitzat<\/strong><\/h5>\n\n\n\n

Per aquests motius, el maneig dental de pacients diab\u00e8tics requereix especial atenci\u00f3 en el pla de tractament i com dur-lo a terme<\/strong>, especialment el posttractament quan s'ha realitzat alguna cirurgia. Aix\u00f2 \u00e9s degut a que els pacients solen tenir complicacions en la curaci\u00f3 de les ferides orals, podent arribar aquestes a ulcerar-se o fins i tot provocar infeccions sist\u00e8miques.<\/p>\n\n\n\n

Hem de considerar tamb\u00e9 que la diabetis<\/a> est\u00e0 associada a una deficient regeneraci\u00f3 \u00f2ssia, que augmenta el risc de fractura i la<\/strong> osteoporosi<\/a>. Per aquest motiu, a l'atenci\u00f3 d'aquests pacients \u00e9s fonamental cooperar proactivament amb el metge de refer\u00e8ncia<\/strong> per assegurar tractaments periodontals i implantol\u00f2gics a llarg termini.<\/p>\n\n\n\n

En relaci\u00f3 amb els tractaments, \u00e9s interessant esmentar que hi ha evid\u00e8ncies que el \u00e0cid hialur\u00f2nic al 0,8% aplicat a l'alv\u00e8ol despr\u00e9s de l'extracci\u00f3<\/strong> millorava la curaci\u00f3 de la ferida en els pacients amb diabetis<\/a> no controlada, especialment els primers dies despr\u00e9s del procediment.<\/p>\n\n\n\n

En l'atenci\u00f3 d'aquests pacients, a Lura Care<\/a> considerem recomanable la profilaxi antibi\u00f2tica abans de procediments dentals invasius<\/strong> en pacients amb diabetis<\/a> tipus 1, i vigilar que la gluc\u00e8mia no sigui m\u00e9s gran de 170mg\/dl per minimitzar el risc de patir complicacions.<\/p>\n\n\n\n

La import\u00e0ncia de la prevenci\u00f3<\/h5>\n\n\n\n

Per\u00f2 no podem oblidar-nos que la prevenci\u00f3 \u00e9s el m\u00e9s important<\/strong>. Els canvis en l'estil de vida com el control de glucosa en sang i les pr\u00e0ctiques d'autocura, i visitar regularment el dentista per revisions peri\u00f2diques amb \u00e8mfasi en el tractament periodontal<\/strong>, poden prevenir efectivament les complicacions orals derivades de la malaltia.<\/p>\n\n\n\n

En aquest sentit \u00e9s important tamb\u00e9 considerar el refor\u00e7 de les instruccions de cura i higiene oral<\/strong>, aix\u00ed com la profilaxi amb ultrasons i els curetatges<\/strong>, que han demostrat la seva efectivitat millorant els controls gluc\u00e8mics entre els pacients diab\u00e8tics.<\/p>\n\n\n\n

Com a conclusi\u00f3 general, \u00e9s molt important que la nostra gent gran amb diabetis<\/a> se sotmeten a un examen regular per part d'un odont\u00f2leg<\/strong>. I seria \u00f2ptim que aquest professional formi part d'un equip multidisciplinari, que treballi de manera coordinada per ajudar les persones diab\u00e8tiques a millorar tant la salut general com la salut bucodental.<\/p>\n\n\n\n

<\/div>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

La relaci\u00f3 entre la diabetis i la salut oral \u00e9s bidireccional. La prevenci\u00f3 i l'abordatge terap\u00e8utic especialitzat en l'atenci\u00f3 odontol\u00f2gica dels pacients diab\u00e8tics s\u00f3n fonamentals. I molt especialment en el cas de persones grans que viuen a resid\u00e8ncies i tenen la seva mobilitat redu\u00efda. Continue Reading Com afecta la diabetis a la nostra salut oral?<\/span><\/a><\/p>","protected":false},"author":3,"featured_media":4997,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"categories":[18],"tags":[45,36,172,25,49,28,141,50,41,52],"class_list":["post-4996","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulos","tag-caries","tag-dependencia","tag-diabetes","tag-odontologia","tag-periodontitis","tag-personas-mayores","tag-prevencion","tag-salud-oral","tag-tercera-edad","tag-xerostomia"],"yoast_head":"\n\u00bfC\u00f3mo afecta la diabetes a nuestra salud oral? - Lura Care Espa\u00f1a<\/title>\n<meta name=\"description\" content=\"La relaci\u00f3n entre la diabetes y la salud oral es bidirecci\u00f3nal. 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